Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive protein

Background and objective: Gingivitis is characterized as the world’s most predominant inflammatory periodontal disease. Healthy mouth and teeth are obtained by brushing and uses mouthwash. And because of the side effects of chlorhexidine, pomegranate peel extract mouthwash used alternative which ar...

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Main Authors: Nabila Abdul Aziz Hussein, Saeed Ali Mohammed
Format: Article
Language:English
Published: Kurdistan Higher Council Of Medical Specialties 2024-09-01
Series:Advanced Medical Journal
Subjects:
Online Access:https://amj.khcms.edu.krd/index.php/main/article/view/487
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author Nabila Abdul Aziz Hussein
Saeed Ali Mohammed
author_facet Nabila Abdul Aziz Hussein
Saeed Ali Mohammed
author_sort Nabila Abdul Aziz Hussein
collection DOAJ
description Background and objective: Gingivitis is characterized as the world’s most predominant inflammatory periodontal disease. Healthy mouth and teeth are obtained by brushing and uses mouthwash. And because of the side effects of chlorhexidine, pomegranate peel extract mouthwash used alternative which are thought to have anti-inflammatory effect.  The aim of this study is to prepare a herbal mouthwash and to evaluate the efficacy of pomegranate peel extract mouthwash on plaque index, gingival index, and C-reactive protein on moderate gingivitis patients. Method: this study is a clinical crossover design study, which consists of 25 volunteers with moderate gingivitis, who visited Duhok Dental Training Center. This study started from December 2022 to March 2023. Plaque and gingival index with a sample of saliva for C-reactive protein measuring were taken as a baseline before each mouth wash and after that, the pomegranate peel extract mouthwash was used for two weeks, then three weeks wash out between them, then chlorhexidine mouth wash was used for two weeks (crossover method). All saliva samples were analyzed using (CRP ELISA Test). Results: Twenty-five patients who used pomegranate peel extract mouthwash showed a significant reduction after two weeks used (CRP=162.28, GI=0.54, PI=0.82) and p value (<0.0001) in mean C-reactive protein, gingival index, and plaque index from baseline which was (CRP=669.78, GI=1.88, PI=2.11). Conclusion: Pomegranate peel extract mouthwash had been shown effective against moderate gingivitis in adult patients with no systemic diseases through lowering in mean salivary C-reactive protein, gingival index, and plaque index.
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spelling doaj-art-9bba3d4561824b3792c9b975b0e2b5452025-08-20T02:27:24ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802024-09-019310.56056/amj.2024.284488Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive proteinNabila Abdul Aziz Hussein0Saeed Ali Mohammed1Kurdistan Higher Council of Medical Candidate, Duhok Training CenterAssistant Prof, Department of Periodontics, College of Dentistry, Duhok University Iraq Background and objective: Gingivitis is characterized as the world’s most predominant inflammatory periodontal disease. Healthy mouth and teeth are obtained by brushing and uses mouthwash. And because of the side effects of chlorhexidine, pomegranate peel extract mouthwash used alternative which are thought to have anti-inflammatory effect.  The aim of this study is to prepare a herbal mouthwash and to evaluate the efficacy of pomegranate peel extract mouthwash on plaque index, gingival index, and C-reactive protein on moderate gingivitis patients. Method: this study is a clinical crossover design study, which consists of 25 volunteers with moderate gingivitis, who visited Duhok Dental Training Center. This study started from December 2022 to March 2023. Plaque and gingival index with a sample of saliva for C-reactive protein measuring were taken as a baseline before each mouth wash and after that, the pomegranate peel extract mouthwash was used for two weeks, then three weeks wash out between them, then chlorhexidine mouth wash was used for two weeks (crossover method). All saliva samples were analyzed using (CRP ELISA Test). Results: Twenty-five patients who used pomegranate peel extract mouthwash showed a significant reduction after two weeks used (CRP=162.28, GI=0.54, PI=0.82) and p value (<0.0001) in mean C-reactive protein, gingival index, and plaque index from baseline which was (CRP=669.78, GI=1.88, PI=2.11). Conclusion: Pomegranate peel extract mouthwash had been shown effective against moderate gingivitis in adult patients with no systemic diseases through lowering in mean salivary C-reactive protein, gingival index, and plaque index. https://amj.khcms.edu.krd/index.php/main/article/view/487ChlorhexidineC-Reactive proteinGingivitisPomegranatesaliva
spellingShingle Nabila Abdul Aziz Hussein
Saeed Ali Mohammed
Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive protein
Advanced Medical Journal
Chlorhexidine
C-Reactive protein
Gingivitis
Pomegranate
saliva
title Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive protein
title_full Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive protein
title_fullStr Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive protein
title_full_unstemmed Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive protein
title_short Efficacy of Pomegranate Peel Extract Mouthwash on Gingivitis and C-reactive protein
title_sort efficacy of pomegranate peel extract mouthwash on gingivitis and c reactive protein
topic Chlorhexidine
C-Reactive protein
Gingivitis
Pomegranate
saliva
url https://amj.khcms.edu.krd/index.php/main/article/view/487
work_keys_str_mv AT nabilaabdulazizhussein efficacyofpomegranatepeelextractmouthwashongingivitisandcreactiveprotein
AT saeedalimohammed efficacyofpomegranatepeelextractmouthwashongingivitisandcreactiveprotein